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NPI Code Detail

MEDICARE: GLORIA M. BARDSLEY O.T.

MEDICARE:   GLORIA M. BARDSLEY  O.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist6704MA
2225X00000XOccupational TherapistOT23204FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10700959OTHERMASS HEALTH
2OT0103OTHERBCBS

General Provider Information

NPI Number : 1043490501
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA M. BARDSLEY O.T.
Provider Business Mailing Address
First Line : 1001 NW 25TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-4878
Country : US
Telephone Number : 508-887-2333
Fax Number :
Provider Business Practice Location Address
First Line : 1001 NW 25TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-4878
Country : US
Telephone Number : 508-887-2333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 11/15/2023

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Directions to “ GLORIA M. BARDSLEY O.T.” Practice Location

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